Doctor Name: | ASHLEY L RACETTE |
NPI Number: | 1437347903 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | 2338 |
Business Practice Address: | 208 Mill Rd 2nd Floor Fairhaven, MA - 027195208 |
Business Phone Number: | 5089732214 |
Business Fax Number: | 5089732640 |
Mailing Address: | 200 Mill Rd, Suite 180 FAIRHAVEN |
State: | MA |
Postal Code: | 027195252 |
Phone Number: | 5089732000 |
Fax Number: | 5089732001 |
NPI Enumeration Date: | 10/10/2007 |
NPI Last Update Date: | 04/24/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | 2338 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |